The purpose of this study was to explore the experiences of practitioners and scholars in the field of positive youth development through physical activity (PA-PYD) and gather what they have learned during their experience. The primary investigator conducted interviews with a purposeful sample of 10 expert practitioners (5 men and 5 women) in the field of PA-PYD that met inclusion criteria. Participants had a combined 162 years of experience running or researching 24 different PA-PYD programs that took place in 11 different countries. A semantic thematic analysis was conducted to systemically code, categorize, and distill the shared experiences of the participants. The results were organized into five primary themes according to what was shared: (a.) Participants’ journey (b.) Participants’ values (c.) Key factors to consider in perceivably effective programming, (d.) Common barriers, (e.) Strategies for navigating barriers. Finally, these results were then discussed within the scope of systems theory in an effort to propose strategies and future research directions that might better inform PA-PYD future practitioners that aim to achieve distal outcomes within complex systems.

No / Objectives: To examine how people from Bradford's Pakistani Muslim community experience living with epilepsy. Specifically, the paper addresses social interactions and negotiations with care providers and considers how different understandings of epilepsy are integrated. Methods: Interviews were conducted with a sample of Bradford's Pakistani Muslim community ( n=20). Interviews were analysed to identify themes and significant areas of shared concern. Results: This paper identifies popular, professional and folk sectors contributing to an individual's `health system'. Where sectors overlap, zones of hybridity are created: that is, a person might simultaneously seek help from a doctor and from a religious healer, or might offer explanations for seizures that include neurological and spiritual components. Discussion: While there are many similarities between the experiences of these minority ethnic community members and published work on the lived experience of epilepsy in other communities, there are also important differences that service providers need to recognize and respond to. Differences include forms of cultural expression and specific language needs. Improving communication between professionals and persons with epilepsy needs to be prioritized.

Background: Contemporary research has been studying what motivates employees in different working fields. In this study, Herzberg’s research is examined in order to take a closer look at the motivation of customer service employees. Purpose: The purpose of this study is to examine how the employees of customer service are motivated to work by mainly relating this study’s results to Herzberg’s research. Method: The study method is a case study with qualitative research including semi-structured interviews and snowball sampling approach. Theoretical framework: The fundamental theoretical framework in this study consists of Herzberg’s two-factor motivation theory. Empirical material: The empirical material in this study consists of ten customer service employees. All the empirical data has been collected through face-to-face contact. Conclusion: The overall picture of the empirical material is that the customer service employees are motivated by these Herzberg factors: “Salary”, “Interpersonal relations”, “Policy and administration”, “Achievement”, “Recognition”, “The work itself”, “Responsibility”, “Advancement” and finally “Possibility of growth”.

This study sought to understand how the application of a network analysis of rugby gameplay could inform coaches of their teams’ patterns of play in an effort to aid their teams’ performance. A qualitative case study utilizing open-ended interviews and a process of evaluation and constant comparison served as a guiding framework for this the data collection and data analysis methods incorporated during this study. Results of the study identified four key findings. First, incorporating elements of community based action research into the design of a case study provided the researcher with an opportunity to build effective working relationships with both participants. Second, providing coaches with effective feedback that informed them of their player’s performance was critical to the performance analysis (PA) process. Third, modifying the network analysis process to meet the participant’s needs was key in providing applicable analysis during the cases study. Fourth, performance analysts and coaches, like those in this case study, require video feedback, linked to the network analysis, if the network analysis process is to be considered informative. Finally, creating a PA process that is able to adapt to the coaches changing needs as well as the work cycles the organization proceeds through is a benefit of the NA process that we developed. / Graduate

We propose a model of search term selection process based on our empirical study of professional searchers during the pre-online stage of the search process. The model characterizes the selection of search terms as the navigation of different discourses. Discourse refers to the way of talking and thinking about a certain topic; there often exists multiple, diverse discourses on the same topic. When selecting search terms, searchers appear to navigate a variety of discourses, i.e., they view the topic of a client's search request from the perspective of multiple discourse communities, and evaluate and synthesize differences and similarities among those discourses when selecting search terms. Six discourses emerged as sources of search terms in our study. These discourses are controlled vocabularies, documents and domains, the practice of indexing, clients' search requests, databases and the searchers' own search experience. Data further suggest that searchers navigate these discourses dynamically and have preferences for certain discourses. Conceptualizing the selection of search terms as a meeting place of different discourses provides new insights into the complex nature of the search term selection process. It emphasizes the multiplicity and complexity of the sources of search terms, the dynamic nature of the search term selection process, and the complex analysis and synthesis of differences and similarities among sources of search terms. It suggests that searchers may need to understand fundamental aspects of multiple discourses in order to select search terms.

In this Practice Inquiry, Mexican American parents' perceptions of cultural influences on grieving the death of their child were described. Findings were used to inform a continuing education module for nurses involved in the care of Mexican American parents who have experienced the death of their child. This line of inquiry is important as the needs of grieving Mexican American parents are not always recognized by those providing care. Ethnographic methodology was used to explore the narratives of three Mexican American fathers and three Mexican American mothers who had experienced the death of their child. A purposive sample was recruited from a faith based community health center in Tucson, AZ. In depth interviews were conducted primarily in the participants' homes by the researcher. All interviews were conducted in Spanish language. Data sources included participant interviews, participant observation, field notes and measures for demographic data and acculturation (ARSMA-II).The overarching cultural theme that represents the participants' perspectives is El Dolor de los Padres: Pain in the Parent. The three major themes that support the overarching cultural theme include: (a) Enduring Great Pain, (b) Voices of Mexican American Parents, and (c) Cultural Death Traditions. The fourth major theme, Going Forward: For the Provider specifically addresses data gathered to educate nurses for supporting Mexican American parents grieving the death of a child. The findings of the study are interpreted within the context of the Mexican cultural concepts of familismo, machismo, marianismo, fatalismo, spiritualidad, respeto, confianza and personalismo and the concept of vulnerability.The study's significance for the practice of nursing is upheld in the findings that are specific to understanding and preventing disparities in the care of Mexican American parents who have experienced the death of a child. Increasing nursing knowledge of the cultural context of grieving, especially spiritualidad and continuing memories, offering culturally competent nursing interventions at this time of deep emotional pain are elucidated in this Practice Inquiry.

This article offers a perspective on adolescents' experiences of aggression in a secondary school, with a focus on the manifestation, contributing factors, consequences, and learners' opinions on aggression. An inductive qualitative research approach was chosen, where learners wrote about their experiences and participated in focused semi-structured interviews. Central themes were derived by means of thematic content analysis. The results revealed that a substantial number of learners experienced negative feelings about aggression at school and that aggression was related to individual characteristics, the adolescent's developmental stage, socialisation, status, competition, home environment, prior experiences, learnt behaviour and the effect of the media and music. Aggression was present among all genders. ages and cultures in school. It seemed to have a higher prevalence among boys, but was also significantly present among girls. Physical and emotional bullying had a high prevalence. which showed that bullying is problematic at schools. Passive aggression was mostly present in the form of oppositional behaviour towards authorities at school and educators are often verbally abused and ignored by learners, but their classrooms are also damaged. Individual characteristics, interpersonal relationships, multicultural interaction and a lack of sufficient social skills contributed towards many acts of aggression. Aggression was prominent in the reciprocal relationships between adolescents and their social environment. Being part of a group and forming a social identity are very important. Confiding in groups may expose learners to peer pressure, which may lead to activities and behaviour that are aggressive in nature. There were reports of discrimination and it seemed that learners get along better with others who share an equal status. This may possibly explain why aggression seemed less between white English-speaking and black English-learners, while it was more common between white Afrikaans and white/black English-speaking learners. Increased social contact between members of different social groups could reduce prejudice if these persons have an equal status. Exposure to aggression had emotional consequences, and some learners were prone to feelings of anger, fear, depression, being controlled and a loss of self-content. Behavioural responses included retaliation, pacifism, vandalism and suicide. Exposure to aggression (directly and indirectly) provoked several responses. These responses may be emotional or behavioural in nature. Emotions such as fear and anger and feeling overwhelmed, depressed and helpless may be elicited in response to aggression. Some learners may retaliate towards an aggressive incident through physical or verbal behaviour; others may withdraw and avoid social interactions. Learners may direct their aggression towards others (people and objects) or themselves. In the case of the latter, it may lead to depression, self-harm or even suicide. No single factor propels an adolescent to act aggressively. Instead, the causes of such behaviour are complex and multifaceted. Most participants in this research experienced aggression at school as unhealthy. Aggression may have emotional and behavioural consequences such as disruption, discomfort and disturbance of normal functioning. Although aggression seemed relatively under control at this particular school, there are signs of an increase in aggression and in the severity of some of the incidents, and of the possibility of desensitisation towards aggression, with the agonising possibility that aggression is serving as a form of entertainment for some learners. The need for learner involvement, school guidance programmes and life-skill training was prominent, accompanied by the need for school counsellors to assist in the management of aggression. Teachers must have better knowledge of the adolescent developmental phase so that they could understand and identify behavioural problems among learners. / Thesis (M.Sc. (Clinical Psychology))--North-West University, Potchefstroom Campus, 2007

Patients admitted to the Intensive Care Unit (ICU) are critically ill and often at extremely high risk of death. These patients receive aggressive interventions to prolong their lives. Despite these measures, many patients still succumb to their illness. Although ICU physicians are good at predicting which patients have a high risk of mortality, they are still offering interventions that do not prolong life, but potentially cause more suffering at the end of life. This is because there is a lack of high quality and early communication to discuss prognosis and establish patients' goals of care. This gap in communication is even more profound when patients are transferring from rural hospitals to busy tertiary care centers. This dissertation discusses the utilization of tele-video conferencing to enhance early communication with family members/loved ones of critically ill patients prior to their transfer from a rural hospital to a tertiary care center. It begins with a description of telemedicine and its uses in the ICU to date. Chapter 2 discusses the poor prognoses of patients receiving high intensity interventions such as cardiopulmonary resuscitation (CPR). The extremely dismal outcomes underscore the importance of early, thorough discussions regarding prognosis and goals of care in these patients. The next chapter describes a pilot study utilizing telemedicine to conduct formal unstructured telemedicine conferences with family members prior to transfer. This study demonstrated that palliative care consultations can be provided via telemedicine for critically ill patients and that adequate preparation and technical expertise are essential. Although this study is limited by the nature of the retrospective review, it is evident that more research is needed to further assess its applicability, utility and acceptability. Chapter 4 describes an investigation into the barriers and facilitators of conducting conferences via telemedicine and the perceptions of clinicians regarding the use of telemedicine for this purpose. This chapter identified unique barriers and facilitators to the use of telemedicine that will need to be addressed when designing a telemedicine intervention for conducting family conferences. This thesis describes the importance and process of implementation of telemedicine for the novel purpose of enhancing early communication among physicians and family members of critically ill loved ones. Further studies are needed to refine and investigate patient and family centered clinical outcomes utilizing this intervention.

The purpose of the study was to explore juvenile offenders' perceptions of the counseling relationship. Eight juvenile offenders who were on probation under the jurisdiction of a juvenile court participated in the study. Using a phenomenological methodology, two interviews with each participant were conducted in order to obtain participants' full descriptions of the phenomenon of the counseling relationship. The main research question was: What are juvenile offenders' perceptions of the counseling relationship? Sub-questions were: (a) What are the themes and qualities that account for how feelings and thoughts connected to the counseling relationship are aroused?, (b) What are the underlying conditions that account for juvenile offenders' perceptions of the counseling relationship?, (c) What are the universal structures (e.g. time, space, bodily concerns, physical substance, causality, relation to self or others ) that precipitate feelings and thoughts about the experience of the counseling relationship?, and (d) What are the unique qualities of the experience that facilitate a description of the "counseling relationship" as it is experienced by juvenile offenders? Participants' descriptions provided a range of descriptions that were summarized in three thematic categories: Themes Related to Participants, Themes Related to Counselors, and Themes Related to the Process of Counseling Relationships. In addition, a composite textural-structural description of participants' experiences provided a holistic description of the phenomenon as lived by participants. Participants' experiences provided a greater depth of understanding of the counseling relationship with this challenging population from the perspective of juvenile offenders. Implications for juvenile offender counselors and counselor educators are discussed. Implications for phenomenological methodology are also discussed.

In light of the increasing prevalence of obesity in the UK, health professionals working within general practice are urged to initiate discussion about weight with overweight and obese patients. Despite such appeals, evidence suggests that only a minority of health professionals routinely talk to patients about weight loss. To understand more about the barriers to raising the topic of weight in general practice, three empirical studies guided by qualitative research design were carried out. The first two studies draw on psychological theory to identify barriers to raising the topic of weight. Semi-structured interviews were conducted with 17 GPs and 17 primary care nurses. The third study conducted with 20 GPs is underpinned by discourse analysis and uses trigger film interviews to capture and critically analyse the discursive production of, and macro-discourses shaping, barriers. In study 1 and 2, three main themes summarise barriers identified from GP and primary care nurse perspectives: limited understanding about obesity care, concern about negative consequences and limited time to raise a sensitive topic. In study 3, four discursive frameworks were identified as underpinning constructions about the barriers to broaching discussion about obesity: medical-reductionist, medical-holistic, moral and ethical. Findings extend understanding about the ways in which obesity is constructed as both a medical and non-medical issue. The findings have implications for health professional education, policy and research including the need to expose and challenge dominant understandings of obesity as a behavioural problem, to address barriers operating at the socio-cultural as well as the individual-level, and to enhance understanding about the socially embedded and pernicious effects of obesity stigma in the consultation and beyond.